Resources
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Immediate Mental Health Support
If you are in immediate danger, call 911. For 24/7 confidential crisis support, these services offer instant connection to trained counselors.
• 988 Suicide & Crisis Lifeline: Call/Text 988 or chat online (24/7)
• Línea de Prevención del Suicidio y Crisis: Llame al 988, presione 2 (24/7)
• Deaf/Hard of Hearing Support: Use your preferred relay service or dial 711 then 988
• Crisis Text Line: Text HOME to 741741 (24/7)
Experience-Specific Crisis Resources
Help for those navigating specific crises, including physical harm, disaster-related distress, and addiction treatment referrals.
• RAINN (Sexual Assault): Call 800-656-HOPE or chat online (24/7)
• Domestic Violence Hotline: Call 800-799-SAFE or text START to 88788 (24/7)
• SAMHSA Treatment Referral: Call 800-662-HELP (24/7)
• Disaster Distress Helplines: Call/Text 800-985-5990 (24/7)
Local Crisis Resources – Cowlitz County
If you are in immediate danger, call 911.
Local crisis and stabilization options include:
• Lifeline Connections Crisis & Stabilization Center – Crisis stabilization and withdrawal management.
• Rainier Springs – Inpatient and outpatient behavioral health treatment.
• Columbia Wellness – Counseling and behavioral health services.
• PeaceHealth St. John Medical Center – Emergency department and behavioral health services.
• Cowlitz County Crisis Line – 800-626-8137 for 24/7 crisis support.
Please verify phone numbers, addresses, and hours before using this information.
Culturally-Focused Support
Support services tailored for specific cultural, ethnic, and marginalized populations to ensure identity-affirming care.
• Veterans Crisis Line: Dial 988, press 1 or text 838255 (24/7)
• Trevor Project (LGBTQ+ youth): Call 866-488-7386 or text START to 678678 (24/7)
• Black Survivors Help Line: Text STEVE to 741741
• StrongHearts Native Helpline: Call/Text 844-762-8483 (24/7)
• Trans Lifeline: Call 877-565-8860 (Varies)
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